NPI | 1497910236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD459450) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-36386) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2023-01-27 |